New York Personal Representative Request Form

State:
Multi-State
Control #:
US-3578
Format:
PDF
Instant download

Description

This form is used by a health plan to identify a representative of a subscriber who has legal authority to make health care decisions for the subscriber, such as a guardian, person appointed in a power of attorney, or other documented authority.
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FAQ

If you are a nonresident individual, estate, or trust, you are subject to tax on your New York source income. New York source income includes income derived from or connected with a business, trade, profession, or occupation carried on in New York State.

Allocation, in this case, means to assign income to the state you were living in when you earned it. We'll either ask you to separate the income you earned or to verify the allocation amounts we already calculated for you. Allocating your income shouldn't be too difficult, but it can involve some math.

If you received a W-2 for a job which you worked some days in New York and some days outside of New York, you must complete NY IT-203B Schedule A - Allocation of wage and salary income to New York State to adjust the State wage amounts.

Use Form ET-14, Estate Tax Power of Attorney, when you want to give one or more individuals the authority to obligate, bind, or appear on your behalf before the New York State Department of Taxation and Finance (the department) with respect to estate tax matters.

Generally, you must file a New York State income tax return if you're a New York State resident and are required to file a federal return. You may also have to file a New York State return if you're a nonresident of New York and you have income from New York State sources.

The easiest way in your case would be to allocate by percentage. Divide your NY earnings by the total earnings for this employer. Enter the percentage. Then continue through the rest of NY.

Form ET-30, Application for Release(s) of Estate Tax Lien. Complete the Estimated value of all assets of estate section. Submit an original or verified copy of the letters testamentary or the letters of administration. Attach a copy of the death certificate.

Form IT-201 can be used only by resident New York taxpayers who want to file their New York income tax returns. If you are a part-year resident or a nonresident, you may use Form IT-203 instead to file your income tax return.

IT-203 (Fill-in) IT-203-I (Instructions) Nonresident and Part-Year Resident Income Tax Return; Description of Form IT-203. This is the only return for taxpayers who are nonresidents or part-year residents of New York State, whether they are itemizing their deductions or claiming the standard deduction.

It is a term that means "How much of your income was actually earned in NY"? If you were a NY nonresident, all of your income can be reported to NY, because that is what the state requires of NY employers.

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New York Personal Representative Request Form